Individual provider Active NPI

David M Luria, OD

  • Optometrist
  • Cambridge, MA
National Provider Identifier
1306059779
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3687 Issued in MA
Practice address
12 Eliot St
Cambridge, MA 02138-5706
Phone
(617) 354-3310
Fax
(617) 354-3310
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3687 MA Primary

Addresses

Primary practice location

12 Eliot St
Cambridge, MA 02138-5706

Mailing address

12 Eliot St
Cambridge, MA 02138-5706
Phone (617) 354-3310

Other identifiers 2

IdentifierTypeStateIssuer
0729299MedicaidMA
W16514OtherMABC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000421 MA Practitioner - Optometry 4082704135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Massachusetts Professional PCGroup PAC ID 6901282557, 44 clinicians

Practice addresses (Care Compare)

12 Eliot St
Cambridge, MA 02138-5824
Phone (617) 354-3303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3687MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Massachusetts Professional PC Optometrist CurrentSince Mar 21, 2025 Accepting new patients
David M Luria OD PC Optometrist CurrentSince Jun 1, 2007 Accepting new patients

Locations

15 Central St
Andover, MA 01810
Phone (978) 475-1230

12 Eliot St
Cambridge, MA 02138
Phone (617) 354-3303

615 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-3937

850 Chelmsford St
Lowell, MA 01851
Phone (978) 452-0127

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1306059779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELIOT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385706",
            "telephone_number": "617-354-3310",
            "fax_number": "617-354-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELIOT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385706",
            "telephone_number": "617-354-3310",
            "fax_number": "617-354-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURIA",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0729299",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "W16514",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.